西班牙老年人的日常生活活动。与死亡率的关联。

Activities of daily living in the Spanish elderly. Association with mortality.

作者信息

Beltran B, Cuadrado C, Martin M L, Carbajal A, Moreiras O

机构信息

Departamento de Nutrición. Facultad de Farmacia (UCM), Madrid, Spain.

出版信息

J Nutr Health Aging. 2001;5(4):259-60.

PMID:11753490

Abstract

The ability to manage basic activities of daily living (ADL) is a significant predictor for being housebound, placement in a nursing home and death. The aim of the study was to assess the capacity to perform activities of daily living in the Spanish sample (30 men and 49 women aged 80-85 y) from SENECA's Finale study (1999) and changes respect to the same sample ten years ago. The total ADL score (assessed by 16 questions) and the partials (mobility ADLm and self-care ADLc) show that the total ADL average in 1999 has been 23.9+/-10.2 (p<0.05) and 25.3+/-9.6 (p<0.001), being in 1989, 18.8+/-4.4 and 19.9+/-4.8 for men and women respectively. The ADL score from deceased subjects participating in 1989 was significantly worse (p<0.01 in men and p<0.001 in women) than ADL score from survivor subjects. Activities of daily living as a measurement of functionality decline with increasing age and in our study a better ADL score was found as survival factor.

摘要

管理日常生活基本活动（ADL）的能力是预测是否会居家不出、入住养老院以及死亡的重要指标。本研究的目的是评估西班牙样本（来自1999年SENECA最终研究的30名男性和49名80 - 85岁女性）进行日常生活活动的能力，以及与十年前同一样本相比的变化情况。ADL总分（通过16个问题评估）及分项得分（移动性ADLm和自我护理ADLc）显示，1999年ADL总分平均值为23.9±10.2（p<0.05），2009年为25.3±9.6（p<0.001），而1989年男性和女性的ADL总分分别为18.8±4.4和19.9±4.8。1989年参与研究的已故受试者的ADL得分显著低于（男性p<0.01，女性p<0.001）存活受试者的ADL得分。作为功能衡量指标的日常生活活动能力随年龄增长而下降，在我们的研究中，较好的ADL得分是一个生存因素。